First, you must take careful inventory of where you are at, and where you want to go next. You should be always looking at least a quarter, if not a year down the road. Right now, you should be putting the finishing touches on your 08 Game Plan.
Never do this during office hours. Only while relaxed, completely focused, hopefully after a couple days away from the office.
The next step is to look at your past 6-12 mos. statistics (hopefully you have at least a basic array) and see what’s missing VS where you want to go next.
For example, if retention is poor, your Second Visit needs a makeover. If NPs are not where they should be, a careful analysis of your marketing is in order.
But also, take a look at what’s really doing well, say former patients returning, and don’t change what’s driving that, such as your current patient newsletter.